-
Findings:
-
Carpal height & Carpal height ratio:
-
Distal Radius Fracture:
-
Radial Length & Width:
-
Scapholunate Dislocation
-
Scaphoid Fracture:
- Types of Radiographs:
-
Arthrography of the Wrist
-
AP View
-
Carpal Tunnel View
-
Clenched Fist PA
-
Lateral View
-
PA View
-
Pronated Olblique - demonstrates adequately STT joint;
-
Reverse Oblique - 15 deg
-
Supinated Oblique
-
Ulnar Variance:
-
Zero Rotation Views
- AP View is prefered for Wrist Pathology:
- AP has dorsum of hand touching film, w/ x-ray beam passing palmar to dorsal, whereas in
PA film,
palmar surface lies flat on film & x-ray beam passes from the dorsal to palmar surface;
- palmar surfaces of most carpal bones are narrower, & these bones are best profiled in
AP projection because
of the alignment of the peri-articular cortices with the diverging incident x-ray beam;
- position of
ulnar styloid will determine which way film was obtained;
- in standard
PA view,
ulnar styloid is peripheral;
- in standard AP View, ulnar styloid points centrally;
Problem Disorders of the Wrist--Symposium: The Vascularity of the Wrist: Identification of *Arterial* Patterns at Risk.
An alternative method for determination of the carpal height ratio.
Year Book: Roentgenographic Examination of the Wrist: A Systematic Study of the Normal, Lax and Injured Wrist.
Part 1: The Standard and Positional Views.
Schernberg-F.
1992 Year Book of Hand Surgery. Article 9-6.
Original Article: J Hand Surg. 1990. 15-B. pp 210-219.
Year Book: Roentgenographic Examination of the Wrist: A Systematic Study of the Normal, Lax and Injured Wrist. Part 1: The Standard and Positional Views.
Year Book: Roentgenographic Examination of the Wrist: A Systematic Study of the Normal, Lax and Injured Wrist. Part 2: Stress Views.
Year Book: Roentgenographic Examination of the Wrist: A Systematic Study of the Normal, Lax and Injured Wrist.
Part 2: Stress Views.
Schernberg-F.
1992 Year Book of Hand Surgery. Article 9-7.
Original Article: J Hand Surg. 1990. 15-B. pp 220-228.